A pregnant college student is waiting patiently to be discharged after being treated for premature uterine contractions. The nurse assesses the patient before discharge and notices a pool of blood under the patient's pelvis. The patient reports no pain, discomfort, or nausea. Which of the following should the nurse do before discharging the patient?


• Painless, vaginal bleeding is indicative of placenta previa, a life-threatening condition that requires continued hospitalization and close monitoring.

• Placenta previa is caused when the placenta has grown to partially or totally cover the internal os of the cervix. Severe bleeding is the main symptom of placenta previa, which most commonly occurs during the third trimester of pregnancy.

• Incorrect: The other three options are incorrect because painless bleeding is not normal. Although the teach-back method is useful, the patient's immediate complication is the priority and discharge should be put on hold.

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